| 引用本文:陈琳，张伯宇.耳穴及生活方式预防2型糖尿病的随机对照试验研究[J].世界中医药,2019,(03):. |
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| 耳穴及生活方式预防2型糖尿病的随机对照试验研究 |
| Auricular Acupuncture and Lifestyle Prevention of Type 2 Diabetes：A Randomized Controlled Trial |
| 投稿时间：2018-06-19 |
| DOI：10.3969/j.issn.1673-7202.2019.03.047 |
| 中文关键词: 耳穴 生活方式 干预；2型糖尿病 前期人群；血糖 血脂；糖尿病转化率；干预 |
| English Keywords:Auricular acupressure Lifestyle intervention Prediabetes type 2 Blood glucose Lipid levels Diabetes conversion rate Intervene Significant Improve |
| 基金项目:北京市医院管理局课题(PZ2018009) |
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| 中文摘要: |
| 目的:探讨耳穴及生活方式对2型糖尿病前期人群的预防效果。方法：选取2017年5月至2018年3月在顺义区中医院接受体检的2型糖尿病前期人群92例进行观察，按照随机数表法分为对照组和观察组，每组46例，对照组给予常规干预，观察组在对照组的基础上给予耳穴压豆干预治疗。比较2组2型糖尿病前期人群干预前后的糖化血红蛋白（HbA1c）、体质量指数（BMI）、空腹血糖（FPG）、餐后2 h血糖（P2 hPG）、收缩压（SBP）、舒张压（DBP）、总胆固醇（TC）、三酰甘油（TG）、高密度脂蛋白（HDL）及低密度脂蛋白（LDL）变化情况，以及干预1年后糖尿病转归情况。结果：与干预前比较，对照组仅FPG与P2 hPG较干预前均显著降低，观察组FPG、P2 hPG、TC、HDL及HbA1c较干预前显著降低，而LDL显著升高，差异均有统计学意义（P<0.05）；干预后2组比较，观察组FPG、P2 hPG、TC、LDL及HbA1c降低更显著，而LDL升高更显著，差异有统计学意义（P<0.05）；干预后观察组糖尿病转化率2.17%（1/46），对照组糖尿病转化率13.04%（6/46），差异有统计学意义（P<0.05）。结论：耳穴压豆联合生活方式干预可更有效地改善2型糖尿病期人群的血糖及血脂水平，有效降低。 |
| English Summary: |
| To study the prevention outcomes of auricular acupuncture and lifestyle in treating Type 2 Diabetes. Methods:A total of 92 patients with prediabetes type 2 during physical examination in Beijing Hospital of Traditional Chinese Medicine in Shunyi District from May 2017 to March 2018 were selected. According to the random number table method，patients were divided into the control group and the observation group，with 46 cases each. The control group was received routine intervention. Additionally the observation group was treated with auricular point pressure bean. The changes of HbA1c，BMI，FPG，P2 hPG，SBP，DBP，TC，TG，HDL，and LDL before and after intervention in type 2 diabetics were compared between the 2 groups. The outcomes were also contracted after 1 year of intervention. Results:Groups were compared before and after intervention. FPG and P2 hPG of the control group were significantly lower than before. FPG，P2 hPG，TC，HDL，and HbA1c of the observation group were significantly lower than before the intervention，while LDL was significantly higher. There was statistical difference in the groups(P<0.05); After intervention FPG，P2 hPG，TC，LDL，and HbA1c decreased more significantly in the observation group，while LDL increased significantly(P<0.05); a total of 2.17% patients of the observation group converted to diabetes mellitus after intervention(1/46). The control group converted to diabetes at the rate of 13.04%(6/46). The differences between the groups were significant(P<0.05). Conclusion:Auricular acupuncture combined with lifestyle intervention can improve blood glucose and lipid levels in type 2 diabetics more effectively than routine intervention，and effectively reduce the conversion rate of diabetes. |
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